HomeMy WebLinkAbout0001310-Plumbing (fixtures)
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I Lot No. I Block I Ward I Addüion or Replat
OUTSIDE WORK
Date
N&W SEWEI WATE' STORMS 'E" "'S 'ELAY S. SEWE' WATE' STORMS "'S
From MoIrL 10 Curb Seplic Tanks From Main 10 Curb
Fróm Cub 10 Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
USED
NO.
NEW
'EP. I USE.
'EES
NEW
'EES
'EP.
USE.
NO.
REP.
FlES
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Catch Basins
Bath Tub
Garbage Di8pooa1a
Di8hwashen
Conduclorl
Wash Basin
Water CIOHI
Laundramall
Greue Catch Bulm
Water Soflone..
Sump Pump 8< Ejeclo..
SiDk
Bar and Soda Waslel
Water Heaten
sanUary Bubblen
Sho...erBatha
UriDail
1-
Floor Dralu
Denial Culpidors
I--
Laundry Tube
Service Sinks
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Valualion of Ibe Work Herein Delaibed
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Fee Verified. Receipled and Recorded
Received Permi! and Inlpecllon Feel
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~;p.rformance 01 this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agr.e to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Boud of Public Works lor the government 01 Plumbers.
the undersigned that no other uses will be made of the above connections except as herelnaltar listed.
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REFERENCE CARD
PLUMBER _ —__ /4(r1145744 = �� - -- -- 'Al 1 "'\
--- - -- - -- DATE - -- -_ _:L ! +–/ , H - -� PERMIT NO.---.__.-_--
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NAME OF OWNER -- __ _— _�_��__ l STREET and NUMBER N- - 7 � � 0 .
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Descri
(i
i on Lot Block Addition Ward
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LI �+ `C OUTSIDE WORK
Now S. Sewer Water Relay _ S. Sewer Water Storms
From Main to Curb _ From Main to Curb
From Curb to Bldg. — From Curb to Bldg.
Electric Pumps — Repair
Septic Tanks
INSIDE WORK
NEW REP. USED FEES NEW REP. USED FEES NEW REP. USED FEES
Bath Tub - Garbage Disposals Catch Basins
Wash Basin - Dishwashers Conductors
Water Closet Laundramats Grease Catch Basins
Sink Water Softeners Sump Pump & Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinals _ —� Range Boilers
Floor Drains Dental Cuspidors _ Future Outlets
Laundry Tubs Service Sinks i t
Inspections Remarks
Outside
Sewer Fees
Plbg Fees
Inside(,/ Total
Valuation _ .
.50/7,x' Final OK
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